Provider First Line Business Practice Location Address:
10620 NW 19 ST
Provider Second Line Business Practice Location Address:
DORAL DENTAL PARTNERS
Provider Business Practice Location Address City Name:
DORAL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-331-7055
Provider Business Practice Location Address Fax Number:
786-331-7455
Provider Enumeration Date:
07/31/2006